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TITLE:

CLINICAL ANALYSIS OF COMPLETE DENTURE SATISFACTION FACTORS: PATIENT AND DENTIST VIEWPOINT

AUTHORS:

Dr. Umar Iqbal, Dr. Arbaz Ali Shah, Dr. Ahmed Bilal

ABSTRACT:

Introduction: The dilemma of patient satisfaction vs. non-satisfaction with dentures is another never-ending debate in dentistry. The fabrication of optimal dentures is possible with appropriate prosthetic laboratory techniques along with patients’ anatomic and physiologic requirements assessed by a dentist. Purpose: The purpose of this study was to evaluate the patient's priority and average patient and dentist satisfaction scores during treatment with full dentures. Place and Duration: The study was conducted at the Dental department of Punjab Dental Hospital Lahore for one-year duration from May 2019 to April 2020. Material and methods: After selecting the subjects based on the established inclusion and exclusion criteria, the patients were asked to fill in the VAS form. Proforma contained a questionnaire divided into 3 parts that must be completed independently by the patient and the doctor. Patients rated their dentures on a scale of 1-5 (5 = very satisfied; 4 = satisfied; 3 = neither dissatisfied nor dissatisfied; 2 = dissatisfied; 1 = very dissatisfied) and the dentist rated the quality of the denture and the denture bearing area. Results: According to the patient’s priority the majority of the patients preferred mastication (47%). The highest mean dentist satisfaction score was concerned with the extension of a denture (0.97 ± 0.28). There was no statistically significant difference with age and gender for mean denture assessment, aesthetic, phonetics, mastication and comfort satisfaction score (p>0.05). However, the employed patients have aesthetic, phonetics and mastication satisfaction score higher than unemployed patients and the relationship was statistically significant (p less than 0.05). The educated patients have mean phonetics satisfaction score higher as compared to uneducated patients and the relationship was statistically significant (p<0.05). Conclusion: Most of the patients noted the better chewing function with the dentures. Age and gender do not affect patient satisfaction. However, the employed patients were less satisfied with their prostheses compared to the unemployed. In addition, patients who were educated had better phonetics with prostheses compared to uneducated patients. Strong dentist-patient communication is essential to keep the patient happy. Keywords: Complete denture, Satisfaction, Communication with the Patient.

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